What can we learn from healthcare.gov?

I think what is missing on this issue is a discussion on how we as a nation go about solving complex and wicked problems.  In general our industry experts who track project success know that only about one in four change projects return any positive value.  For a discussion of wicked problem you can visit this site:  http://en.wikipedia.org/wiki/Wicked_problem


Command and control works poorly with these types of problems because solutions are not known up front.  What seem to improve the outcome of these project is building a highly collaborative project culture that involves all the stakeholders, system thinking,  behavior economics, and a flexible decision making process that takes into account uncertainty. 


Perhaps we are better served in moving from looking who is to blame to asking how we solve these difficult problems?